Prognostic Indicators for Outcome following Rotator Cuff Tear Repair

Abstract

Ageing was found to be the major factor in progressive degeneration of the rotator cuff, and should be considered the single most important contributing factor in the pathogenesis of rotator cuff tears. In addition, degenerative tendonopathy appeared the primary pathology in rotator cuff tear, preceding hypertrophic spur formation. Rotator cuff tears are therefore unlikely to be initiated by impingement; rather, they develop as an intrinsic degenerative tendonopathy.

Functional Recovery Period after Arthroscopic Rotator Cuff Repair: Is it Predictable Before Surgery?

“…Charousset et al [7] reported female gender was a negative predictive factor for improvement of clinical results. However, Feng et al [12] reported gender was not correlated with postoperative outcome. There is no consensus regarding this issue.…”

“…A number of studies have reported preoperative factors influencing functional outcomes after rotator cuff repair (Table 1). Feng et al [12] reported aging was the main factor in progressive degeneration of the rotator cuff and aging should be considered the most important factor contributing to the pathogenesis of rotator cuff tears. Age-dependent decline of healing potential in degenerated rotator cuffs and age-dependent progression of shoulder dysfunction caused by rotator cuff tears have been observed [4,26].…”

Do Outcomes Differ after Rotator Cuff Repair for Patients Receiving Workers' Compensation?

“…Factors most commonly considered to have an effect on postoperative outcome are age, gender, smoking status, and tear size [2,8,10,12,16,17,18,22,23,29,33,34,36,39,41,44]; contradictory results have been reported, with some studies suggesting these factors do have an impact on outcome [8,10,12,22,29,36,41,44] and others suggesting they do not [16-18, 23, 33, 34, 39]. However, to our knowledge, no study has explored whether these factors affect patients with compensation claims differently from those without compensation claims (eg, do large tears have a worse outcome in WCB recipients than nonrecipients; does smoking have a different impact on outcome in WCB recipients than nonrecipients?).…”

Acute rotator cuff tear: Do we miss the early diagnosis? A prospective study showing a high incidence of rotator cuff tears after shoulder trauma

“…9 Several retrospective studies have tried to evaluate the etiology of rotator cuff injuries and have found that 40% to 72% of patients report trauma in the history before their shoulder problems occurred. 4,8,9,11,15,20 Nevertheless, the majority of studies published have been concerned with the diagnosis and treatment of chronic rotator cuff lesions,* and only sparse attention has been given to evaluating the differences between acute, traumatic and chronic rotator cuff tears (RCTs) and thereby improving the early diagnosis of traumatic tears.For chronic cases of full-thickness RCTs, magnetic resonance imaging has previously been considered the most precise diagnostic tool, but during the last decade, further improvements in equipment and technique have now shown similar results with sonography, 6 with sensitivities and specificities ranging from 80% to 100% for both modalities. With the impression that some acute RCTs may be missed during initial examination in emergency departments and with limited knowledge about the incidence of these tears, this study was designed as a prospective investigation to evaluate clinical tests and imaging metha From the…”

“…9 Several retrospective studies have tried to evaluate the etiology of rotator cuff injuries and have found that 40% to 72% of patients report trauma in the history before their shoulder problems occurred. 4,8,9,11,15,20 Nevertheless, the majority of studies published have been concerned with the diagnosis and treatment of chronic rotator cuff lesions,* and only sparse attention has been given to evaluating the differences between acute, traumatic and chronic rotator cuff tears (RCTs) and thereby improving the early diagnosis of traumatic tears.…”